Josefa Mundo, M.D.

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

License

5849 Issued in PR

Practice address

3600 Rivers Ave
Box 487 Navhosp
North Charleston, SC 29405-7747

Phone

(732) 272-6307

NPI assigned

Feb 1, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Josefa Mercedes Mundo Guzman Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922079433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 RIVERS AVE",
            "address_2": "BOX 487 NAVHOSP",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294057747",
            "telephone_number": "732-272-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 RIVERS AVE",
            "address_2": "BOX 487 NAVHOSP",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294057747",
            "telephone_number": "732-272-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDO",
        "first_name": "JOSEFA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "PR",
            "license": "5849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEFA",
            "last_name": "MUNDO GUZMAN",
            "middle_name": "MERCEDES",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Military Health Care Provider in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Military Health Care Provider in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.